License holder summary

BLACK, DANIEL ROBERT, DO is a Medical - Physician licensed to practice in Georgia. The address on file for BLACK, DANIEL ROBERT, DO is 790 HERMAN ROAD, GALLIPOLIS 45631. This doctor license is not current. The license was granted 08/08/1996 and expired on 12/31/1997.

Georgia

Composite Medical Board

BLACK, DANIEL ROBERT, DO
Medical - Physician
License number
042181
Date granted
08/08/1996
Date expires
12/31/1997
Class
Medical - Physician
Status
Lapsed
Address
790 HERMAN ROAD
georgiadoctors.net
ID 38028830
LAST UPDATED 2024-02-22 00:11:07 UTC

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